소아암 생존자의 건강 관련 요구와 삶의 질
Health-related Needs and Quality of Life in Childhood Cancer Survivors
1
조회
0
다운로드
6
인용
0
참고문헌
키워드
초록
Purpose: The purpose of this study was to identify the health-related needs and quality of life in childhood cancer survivors and to identify the relationship between health-related needs and quality of life. Methods: Data were collected from April 11 to May 30, 2014. The participants aged 18~35 years diagnosed with a childhood cancer had completed actual treatment (surgery, chemotherapy, or radiation therapy) at least two years earlier. They were randomly selected from among childhood cancer survivors under follow-up management after cancer treatment at three general hospitals in Korea. Descriptive statistics, t-tests, one-way ANOVA, the post-hoc Scheffé test, and Pearson’s correlation coefficients were used to analyze the data. Results: Among the 371 participants, 214 (57.7%) were male and the mean age was 22.5 years. The mean score for health-related needs was 2.72 out of 5. Positive self-motivation need had the highest mean score of domain. The mean score for quality of life was 5.92 out of 10. Health-related needs and quality of life were negatively correlated (r= - .70, p<.001). Conclusion: Health-related needs of childhood cancer survivors should be regularly assessed to meet their needs and improve the quality of life of childhood cancer survivors.
Abstract
Purpose: The purpose of this study was to identify the health-related needs and quality of life in childhood cancer survivors and to identify the relationship between health-related needs and quality of life. Methods: Data were collected from April 11 to May 30, 2014. The participants aged 18~35 years diagnosed with a childhood cancer had completed actual treatment (surgery, chemotherapy, or radiation therapy) at least two years earlier. They were randomly selected from among childhood cancer survivors under follow-up management after cancer treatment at three general hospitals in Korea. Descriptive statistics, t-tests, one-way ANOVA, the post-hoc Scheffé test, and Pearson’s correlation coefficients were used to analyze the data. Results: Among the 371 participants, 214 (57.7%) were male and the mean age was 22.5 years. The mean score for health-related needs was 2.72 out of 5. Positive self-motivation need had the highest mean score of domain. The mean score for quality of life was 5.92 out of 10. Health-related needs and quality of life were negatively correlated (r= - .70, p<.001). Conclusion: Health-related needs of childhood cancer survivors should be regularly assessed to meet their needs and improve the quality of life of childhood cancer survivors.
참고문헌 (30)
- "Cancer Facts and Figures 2011"[URL]
- Thad T. Ghim, "Time to establish multidisciplinary childhood cancer survivorship programs in Korea", Blood Research, 45(2), pp.84~87 (2010), 대한혈액학회
- Bhatia S, "Evaluating survivors of pediatric cancer", Cancer, 11(4), pp.340~354 (2005)
- Prouty D, "The lived experience of adult survivors of childhood cancer", J Pediatr Oncol Nurs, 23(3), pp.143~151 (2006)
- Brown RT, "Posttraumatic stress symptoms in adolescent survivors of childhood cancer and their mothers", J Trauma Stress, 16(4), pp.309~318 (2003)
- Rourke MT, "Posttraumatic stress disorder(PTSD)in young adult survivors of childhood cancer", Pediatric blood & cancer, 49(2), pp.177~182 (2007)
- Kim MA, "Psychological distress in adolescent and young adult survivors of childhood cancer in Korea", J Pediatr Oncol Nurs, 30(2), pp.99~108 (2013)
- Mertens AC, "Cause-specific late mortality among 5-year survivors of childhood cancer : the Childhood Cancer Survivor Study", J Natl Cancer Inst, 100(19), pp.1368~1379 (2008)
- Reulen RC, "Long-term cause-specific mortality among survivors of childhood cancer", JAMA, 304(2), pp.172~179 (2010)
- Rowland JH, "Cancer survivors and survivorship research : a reflection on today’s successes and tomorrow’s challenges", Hematol Oncol Clin North Am, 22(2), pp.181~200 (2008)
- Lim YT, "Growth pattern in children of acute lymphoblastic leukemia during and after therapy", Clin Pediatr Hematol Oncol, 7(1), pp.50~56 (2000)
- Jang PS, "Sexual development and reproductive function in male adults treated for childhood acute lymphoblastic leukemia or malignant lymphoma", Clin Pediatr Hematol Oncol, 9(1), pp.21~29 (2002)
- Lee YJ, "Prevalence of obesity and cardiovascular risk factors in survivors of childhood acute lymphoblastic leukemia", Clin Pediatr Hematol Oncol, 10(2), pp.198~205 (2003)
- Han JW, "Comprehensive clinical follow-up of late effects in childhood cancer survivors shows the need for early and well-timed intervention", Ann Oncol, 20(7), pp.1170~1177 (2009)
- 유미애, "백혈병 생존 청소년의 심리사회적 적응에 대한 내용분석", Child Health Nursing Research, 12(3), pp.304~313 (2006), 한국아동간호학회
- 김윤정, "소아암 생존 청소년의 질병력과 부모지지에 따른 삶의 질", 정신간호학회지, 17(1), pp.85~96 (2008), 정신간호학회
- 권혜진, "암 치료가 종료된 청소년의 사회적 지지와 자아존중감이 우울에 미치는 영향", Child Health Nursing Research, 15(2), pp.219~227 (2009), 한국아동간호학회
- Park HJ, "Establishment of Korean childhood cancer survivor cohort and long-term follow-up system", Clin Pediatr Hematol Oncol, 14(1), pp.1~42 (2007)
- 김민아, "소아암 완치자의 삶의 질 향상을 위한 서비스 욕구", Child Health Nursing Research, 18(1), pp.19~28 (2012), 한국아동간호학회
- Rines AR, "Nursing Concepts and Nursing Care", Am J Nurs, 76(11), pp.1860~ (1976)
- Becknell EP, "System of nursing practice: a clinical nursing assessment tool" (1975), FA Davis Company
- Lim SJ, "Development of Health-related Need Scale for childhood cancer survivors", pp.2014
- Hudson MM, "Health status of adult long-term survivors of childhood cancer : a report from the childhood cancer survivor study", JAMA, 290(12), pp.1583~1592 (2003)
- Yoo SW, "Prevalence of late effects by designed health promotion program in long-term survivors of childhood cancer", Clin Pediatr Hematol Oncol, 19(1), pp.31~39 (2012)
- 한정우, "Increasing and Worsening Late Effects in Childhood Cancer Survivors during Follow-up", Journal of Korean Medical Science, 28(5), pp.755~762 (2013), 대한의학회
- Clarke SA, "Clinical outcomes and health-related quality of life(HRQOL)following haemopoietic stem cell transplantation(HSCT)for paediatric leukaemia", Child Care Hlth Dev, 37(4), pp.571~580 (2011)
- Nagel K, "The development of an off-therapy needs questionnaire and protocol for survivors of childhood cancer", J Pediatr Oncol Nurs, 19(6), pp.229~233 (2002)
- Earle EA, "Follow-up care for childhood cancer survivors : a focus group analysis", Eur J Cancer, 41(18), pp.2882~2886 (2005)
- Hoven E, "The met and unmet health care needs of adult survivors of childhood central nervous system tumors : a double-informant, population-based study", Cancer, 117(18), pp.4294~4303 (2011)
- 홍성실, "백혈병 생존 청소년의 신체적·정서적 후유장애, 사회적응 및 삶의 질", Journal of Korean Academy of Nursing, 44(1), pp.55~63 (2014), 한국간호과학회
